Evidence map›Paper›PMID 36963791›Full record

SynthesisBMJ open2023

Prevalence of self-medication in Ghana: a systematic review and meta-analysis.

Richmond Opoku, Bismark Dwumfour-Asare, Lawrencia Agrey-Bluwey, Nana Esi Appiah, Michael Ackah, Francis Acquah, Priscilla Fordjour Asenso, Abdul-Aziz Issaka

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  14. Self-Medication Practices in Nigeria: A Systematic Review and Meta-Analysis.Nigerian medical journal : journal of the Nigeria Medical Association
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Richmond OpokuSchool of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK richmondopokuezra@gmail.com.ORCID 0000-0002-0190-8008
Bismark Dwumfour-AsareDepartment of Environmental Health & Sanitation Education, Akenten Appiah-Menka University of Skills Training and Entrepreneurial Development, Mampong, Ashanti, Ghana.ORCID 0000-0002-6493-3892
Lawrencia Agrey-BluweyDepartment of Health Administration & Education, University of Education Winneba Faculty of Science Education, Winneba, Central, Ghana.
Nana Esi AppiahSchool of Medicine, Medical Sciences and Nutrition, University of Aberdeen, Aberdeen, UK.ORCID 0000-0002-7232-2733
Michael AckahDepartment of Public Health Education, Akenten Appiah-Menka University of Skills Training and Entrepreneurial Development, Mampong, Ashanti, Ghana.
Francis AcquahDepartment of Health Administration & Education, University of Education Winneba Faculty of Science Education, Winneba, Central, Ghana.
Priscilla Fordjour AsensoDepartment of Public Health Education, Akenten Appiah-Menka University of Skills Training and Entrepreneurial Development, Mampong, Ashanti, Ghana.
Abdul-Aziz IssakaDepartment of Public Health Education, Akenten Appiah-Menka University of Skills Training and Entrepreneurial Development, Mampong, Ashanti, Ghana.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study estimates the prevalence of self-medication and provides an understanding of the reasons for self-medication in Ghana through the synthesis of relevant literature.

methodsA comprehensive search was conducted in PubMed, Science Direct and African Journals Online to identify observational studies published from inception to March 2022. Google scholar and institutional websites were searched for grey literature. We included studies reporting primary data on the prevalence and/or reasons for self-medication in Ghana. Random-effects meta-analysis was used to estimate the prevalence of self-medication. Subgroup analysis was performed with the study population (pregnant women, patients and students), geopolitical zone (coastal, middle and northern) and study setting (rural and urban). Using inductive thematic analysis, reasons for self-medication were classified and tallied under key themes.

resultsThirty studies involving 9271 participants were included in this review. The pooled prevalence of self-medication in Ghana was 53.7% (95% CI 46.2% to 61.0%; I²=98.51%, p<0.001). Prevalence of self-medication was highest among pregnant women (65.5%; 95% CI 58.1% to 72.5%; I

conclusionThis study has revealed that self-medication is still an unresolved public health challenge in Ghana, with a high prevalence estimate. Self-medication is influenced by inconveniences associated with accessing healthcare coupled with poor health seeking behaviours. There is the need for improved access to quality healthcare and the promotion of appropriate health-seeking behaviours.

Indexed as

Health BehaviorSelf MedicationFemaleGhanaHumansPregnancyPrevalenceRural PopulationEpidemiologyHealth policyPublic health

Identifiers

PMID36963791
PMCPMC10439347

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.